Organization
NEEMAHOME1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY WAMBAIRE I OWNER (PROGRAM DIRECTOR)
(520) 248-1919
Entity
Organization
Contact information
Practice address
6607 E HAWK DR, TUCSON, AZ 85730-3249
(520) 745-5361
(520) 745-5361
Mailing address
6607 E HAWK DR, TUCSON, AZ 85730-3249
(520) 745-5361
(520) 745-5361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4178
AZ
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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